New Hampshire Telemedicine Policy, Simplified.

Healthcare legislation is complicated. Let’s clarify a few things.

We strive to keep this information updated and current. It is intended to be an informative guide, and not a comprehensive legal resource. Always consult with your local team of experts and administrators.

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New Hampshire Telemedicine Policy

updated October 2019

New Hampshire Telemedicine Policy

New Hampshire is making some progress towards more comprehensive telemedicine policies. In 2019 the Granite State’s Medicaid program added the patient’s home as an originating site!  While the state’s Medicaid program offers limited coverage for telehealth, New Hampshire recently passed several pieces of legislation that expands coverage by private payers and access to out-of-state telehealth providers. The state’s telehealth parity law now requires private payers to reimburse for any telehealth services where the in-person service is also normally reimbursed. As of May 2016, New Hampshire joined the Interstate Medical Licensure Compact, which simplifies medical licensing across state lines. Push your legislators to adopt telemedicine policies that foster innovation!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Enacted in 2009, New Hampshire’s telehealth parity law stipulates that private insurance companies must cover care delivered via telehealth in the same way as similar in-person care. This applies to live video telemedicine, and extends to state employee health plans.

  • Medicaid

    New Hampshire Medicaid follows Medicare guidelines for telehealth reimbursement and unfortunately places many restrictions on coverage. Currently, the program will reimburse for specific medical services provided over live video, but only with specific healthcare provider types, locations, and patients in healthcare shortage areas.

  • Type of Telemedicine Covered

    New Hampshire Medicaid reimburses for certain medical services provided over live video telemedicine. The program doesn’t cover store-and-forward or remote patient monitoring at this time.

  • Covered Health Services

    The only services explicitly not covered by New Hampshire’s state telemedicine laws are home rehabilitation and home health monitoring services. If you are a New Hampshire Medicaid provider, however, you should refer to Medicare’s telehealth guidelines for the list of covered telehealth services. 

  • Eligible Healthcare Providers

    While there are no specific restrictions on eligible telehealth providers under the state parity law, New Hampshire Medicaid will only reimburse telehealth care for the following providers:

    • Physician
    • Nurse practitioner
    • Clinical nurse specialist
    • Nurse-midwife
    • Clinical psychologist
    • Clinical social worker
    • Registered dietitian or specified nutrition professional

  • Online Prescriptions

    Prescriptions can only be provided when there is a patient-physician relationship (which can be established via telemedicine). Exceptions to this statute are:

    • Writing admission orders for a newly hospitalized patient
    • A patient of another provider for whom the prescriber is taking call
    • A prescription for a patient who has been examined by a physician assistant, nurse practitioner, or other licensed practitioner
    • Medication on a short-term basis for a new patient prior to the patient’s first appointment
    • When providing limited treatment to a family member in accordance with the American Medical Association Code of Medical Ethics

  • Informed Patient Consent

    New Hampshire state does not have any specific requirements for getting patient consent for a telemedicine visit. However, we recommend obtaining patient consent as a telemedicine best practice. 

    Learn more about patient consent here.

  • Cross-State Telemedicine Licensing

    Out-of-state physicians without a full New Hampshire medical license can provide consultations to other physicians in-state, but cannot hold the “authority and responsibility” for a patient diagnosis. Additionally, New Hampshire is now part of the Interstate Medical Licensure Compact! The compact makes it easier for out-of-state telehealth providers to get licensed in New Hampshire. 

  • Restrictions on Locations

    New Hampshire Medicaid follows the same requirements as Medicare policies regarding telehealthcare. This means the patients need to live within a rural health professional shortage area and they need to be at an eligible originating site for the telehealth visit.

    Here’s the list of eligible originating sites:

    • The offices of physicians or practitioners
    • The patient’s home
    • Hospitals
    • Critical Access Hospitals (CAHs)
    • Rural Health Clinics
    • Federally Qualified Health Centers
    • Hospital-based or CAH-based Renal Dialysis Centers (including satellites)
    • Skilled Nursing Facilities (SNFs) and
    • Community Mental Health Centers (CMHCs)

  • Reimbursement Rates

    Under New Hampshire’s telehealth parity law, private insurance companies have to pay the same rates for telemedicine as in-person procedures.

  • Billing Codes

    When billing for telehealth through Medicaid, follow the Medicare billing guidelines. Medicare requires using the appropriate HCPCS or CPT code along with a GT modifier to show that the care took place virtually. Here’s the full list of billing codes.

  • Helpful Resources

    We used the sites below to gather information for this guide. Check them out for more details on your state’s policy!

Additional resources to help you get started.

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